This review aims to identify the most appropriate and cost-effective models of service delivery and level of provision for palliative care services. This includes the role of nurses in hospitals and the community, and the care of dying patients in acute hospitals. Ten key research questions were identified within this aim including the current need for and provision of services, proposed alternative models of provision, appropriate skill mix in nursing, the relationship between alternative models of care and patient satisfaction, carer satisfaction and patient's quality of life, and the impact of alternative models on other services. In this study a comprehensive review of literatures from the UK, North America, Europe, and Australia was conducted. Over 2,000 documents were identified, of which 673 were deemed to be relevant. Data extracted from these literatures were collated and synthesized in the sections of this study, along with tables of summary data derived from relevant papers.
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